institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Upper Marlboro, Maryland
NPI 1033179874

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Upper Marlboro, MD. The NPI Number for Dva Healthcare Renal Care Inc is 1033179874 and holds a License No. E2545 (Maryland).

The current practice location address for Dva Healthcare Renal Care Inc is 1200 Mercantile Ln, Upper Marlboro, MD and can be reached out via phone at 301-322-2861 and via fax at 301-322-5829. You can also correspond with Dva Healthcare Renal Care Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4214).

Location: 1200 Mercantile Ln, Upper Marlboro, MD, 37027-7569
institution
Provider Profile Details
NPI Number
1033179874
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
1200 Mercantile Ln, Upper Marlboro, MD, 37027-7569
Phone Number
301-322-2861
Fax Number
301-322-5829
Provider Enumeration Date
03/24/2006
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
763011500 05 MD
1033179874 05 VA
033657400 05 DC
institution
Provider Business Practice Location Address Details
Address
1200 Mercantile Ln
City
State
Zip
20774-5389
Phone Number
301-322-2861
Fax Number
301-322-5829
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-320-4214
Fax Number
866-944-3352
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
E2545 (Maryland)
Definition
Definition to come...
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